- New York State Civil Service (Buffalo, NY)
- …Case Manager in the NYS Segment. *Work-up and process Workers' Compensation claims .*Approve and deny medical bills.*Respond to claimant and provider inquiries via ... phone and email.*Routinely communicate with employers to obtain info about claims .*File forms and correspond with the Workers' Compensation Board.*Review claims … more
- City of New York (New York, NY)
- …professionals and construction contractors; and (iii) contract administration issues including claims analysis, delay claims analysis, review of potential change ... orders, and closeout of contracts. This position also includes litigation support for commercial, tort and affirmative cases related to Alternative Project Delivery,… more
- Fedcap (New York, NY)
- Position Summary The Medical Billing Representative I provides support and reports directly to the Medical Billing Supervisor. A member of the Finance team is ... service, medical service and coding are billed. + Submit claims to insurance companies on a daily basis. +...A/R aging to include appeal, trouble shoot, prepare denied claims for rebilling, inquire and correct unpaid claims… more
- Guidehouse (New York, NY)
- …ownership of their work, are enthusiastic, and have a collaborative mindset to support our efforts to sell and provide consulting solutions. You will coordinate ... real-world evidence datasets, which include but are not limited to medical and pharmacy claims (open and closed), formulary and managed care data, and EMR data. +… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- …optimization** for existing brands + Sufficient leadership capacity to support **complex product launches and new distribution models** **Competencies** ... you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more
- Walmart (Vestal, NY)
- …area in accordance with company policies and procedures by properly handling claims and returns utilizing equipment to perform a variety of merchandising functions ... fulfillment process when necessary by processing information for thirdparty insurance claims rescanning illegible images alerting patients to inventory that is out… more
- MetLife (Oriskany, NY)
- …of MetLife. The customers who call into our call center call to file their claims , or to service their active claims . Call types include callers with disability, ... and MetLife using effective communication skills, keen listening skills and empathy. * Support special product and/or service campaigns as needed, or if solicited by… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- …initiatives while optimizing resource allocation. + **Portfolio Planning:** As needed, support the team with relevant early commercialization work and planning ... you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more
- Humana (Albany, NY)
- …to assignments. The Senior Encounter Data Management professional ensures data integrity for claims errors that result from the data exchange between Humana and its ... to make an impact** **Required Qualifications** **5+ years of medical claims processing/auditing or encounter data management experience** **Demonstrated deep dive… more
- City of New York (New York, NY)
- …billing specialist, you will perform health insurance billing activities and support functions including claim review, claim submission, follow up and collection ... prior authorization approvals and claim reimbursement. - Review all claims CPT/ICD-10/HCPCS, payment modifiers in billing software to ensure...denials in a timely manner. - Prepare and batch claims out to third party payers for reimbursements. -… more